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Ophthalmology
Management of bleb-like retinal detachment in aggressive retinopathy of prematurity
  1. Vishakh Padmakumar1,
  2. Harshitha K M1,
  3. Subhadra Jalali2 and
  4. Bhavik Panchal1
  1. 1 ABRI, LV Prasad Eye Institute, GMRV Campus, Visakhapatnam, Andhra Pradesh, India
  2. 2 ABRI, KAR Campus, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Bhavik Panchal; drbhavikpanchal{at}gmail.com

Abstract

Bleb-like retinal detachment (BLRD) in posterior zone 1 retinopathy of prematurity (ROP) presents a significant therapeutic challenge and is associated with a guarded visual prognosis. We present a case of a female infant born preterm with a birth weight of 1100 g. Examination revealed bilateral stage 4 aggressive ROP in posterior zone 1 with BLRD. Given the extent of retinal detachment, a combination of bilateral intravitreal bevacizumab injection, followed by lens-sparing vitrectomy surgery was performed. The baby tolerated the procedures well. The initial postoperative course was uneventful, and the child showed good anatomical and visual success. Through this case, we aim to discuss the risk factors associated with BLRD in ROP, the specific treatment challenges encountered and the potential treatment outcomes.

  • Retina
  • Neonatal Screening
  • Ophthalmology
  • Infant health
  • Neonatal health

https://doi.org/10.1136/bcr-2024-261444

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    Footnotes

    • X @bhavikpanchal87

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: VP, HKM, BP, SJ. The following authors gave final approval of the manuscript: BP, SJ.

    • Funding This study was funded by Hyderabad Eye Research Foundation (N/A)

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.